Dr Sharon Lynn Wilt, MD | |
1201 Pleasant Valley Rd Fl 7, Owensboro, KY 42303-9811 | |
(270) 417-4705 | |
(270) 417-4709 |
Full Name | Dr Sharon Lynn Wilt |
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Gender | Female |
Speciality | Pediatrics |
Location | 1201 Pleasant Valley Rd Fl 7, Owensboro, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760492185 | NPI | - | NPPES |
03075562 | Medicaid | MS | |
003124060 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 53549 (Kentucky) | Secondary |
208000000X | Pediatrics | 66842 (Georgia) | Primary |
Entity Name | Phoebe Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Mailing Address | Practice Location Address |
---|---|
Dr Sharon Lynn Wilt, MD 521 River Overlook, Forsyth, GA 31029-4898 Ph: (601) 942-0179 | Dr Sharon Lynn Wilt, MD 1201 Pleasant Valley Rd Fl 7, Owensboro, KY 42303-9811 Ph: (270) 417-4705 |
Dr. Amy Hayden Ray, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 E. Parrish Ave, Bldg B, Ste 101, Owensboro, KY 42303 Phone: 270-683-3232 Fax: 270-852-1600 | |
Dr. Maria Elena Rivas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1003 Burlew Blvd, Suite C, Owensboro, KY 42303 Phone: 270-683-6848 Fax: 270-685-4197 | |
Mrs. Courtney Quisenberry Crews, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 E Parrish Ave, Bldg B, Ste 101, Owensboro, KY 42303 Phone: 270-683-3232 Fax: 270-852-1600 | |
Dr. David Edward Danhauer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4800 Hunters Ridge, Owensboro, KY 42303 Phone: 270-688-9067 | |
Dr. John Martin Phillips Ii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Breckenridge St Ste 300, Owensboro, KY 42303 Phone: 270-688-4480 Fax: 270-688-4489 | |
Heather J. Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 Pleasant Valley Rd, 7th Floor, Owensboro, KY 42303 Phone: 270-417-4705 Fax: 270-417-4709 | |
Jeremiah Robert Mason, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 E Parrish Ave, Bldg B, Ste 101, Owensboro, KY 42303 Phone: 270-683-3232 Fax: 270-852-1600 |